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DR. STACEY KIM RAYA DC NPI 1073502134


NPI Information

NPI: 1073502134
Provider Name: DR. STACEY KIM RAYA, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
200 QUEEN ST
SOUTHINGTON, CT
ZIP 06489
Phone: (860) 621-2225
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DR. Stacey Kim Raya, DC is a chiropractor in Southington, CT with 34 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Stacey Kim Raya, DC NPI is 1073502134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK CHIROPRACTIC COLLEGE
Graduation Year:1990

The provider's business location address is:

200 QUEEN ST
SOUTHINGTON, CT
ZIP 06489-901
Phone: (860) 621-2225
Fax: (860) 621-2868

The enumeration date for this NPI number is 10/20/2005 and was last updated on 9/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor000938CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1954OTHERUNITED HEALTHCARE
20V1745OTHERCONNECTICUTLANDMARK
3050000938CT01OTHERCONNECTICUTBLUE CROSS
4P414597OTHEROXFORD
5U19274MEDICARE UPIN
6350000609MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
70124979OTHERAETNA/USHEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.